CSF proteomic profiles of neurodegeneration biomarkers in Alzheimer's disease

Aurore Delvenne*, Johan Gobom, Suzanne E. Schindler, Mara ten Kate, Lianne M. Reus, Valerija Dobricic, Betty M. Tijms, Tammie L.S. Benzinger, Carlos Cruchaga, Charlotte E. Teunissen, Inez Ramakers, Pablo Martinez-Lage, Mikel Tainta, Rik Vandenberghe, Jolien Schaeverbeke, Sebastiaan Engelborghs, Ellen De Roeck, Julius Popp, Gwendoline Peyratout, Magda TsolakiYvonne Freund-Levi, Simon Lovestone, Johannes Streffer, Frederik Barkhof, Lars Bertram, Kaj Blennow, Henrik Zetterberg, Pieter Jelle Visser, Stephanie J.B. Vos

*Corresponding author for this work
    3 Citations (Scopus)

    Abstract

    INTRODUCTION: We aimed to unravel the underlying pathophysiology of the neurodegeneration (N) markers neurogranin (Ng), neurofilament light (NfL), and hippocampal volume (HCV), in Alzheimer's disease (AD) using cerebrospinal fluid (CSF) proteomics. METHODS: Individuals without dementia were classified as A+ (CSF amyloid beta [Aβ]42), T+ (CSF phosphorylated tau181), and N+ or N− based on Ng, NfL, or HCV separately. CSF proteomics were generated and compared between groups using analysis of covariance. RESULTS: Only a few individuals were A+T+Ng−. A+T+Ng+ and A+T+NfL+ showed different proteomic profiles compared to A+T+Ng− and A+T+NfL−, respectively. Both Ng+ and NfL+ were associated with neuroplasticity, though in opposite directions. Compared to A+T+HCV−, A+T+HCV+ showed few proteomic changes, associated with oxidative stress. DISCUSSION: Different N markers are associated with distinct neurodegenerative processes and should not be equated. N markers may differentially complement disease staging beyond amyloid and tau. Our findings suggest that Ng may not be an optimal N marker, given its low incongruency with tau pathophysiology. Highlights: In Alzheimer's disease, neurogranin (Ng)+, neurofilament light (NfL)+, and hippocampal volume (HCV)+ showed differential protein expression in cerebrospinal fluid. Ng+ and NfL+ were associated with neuroplasticity, although in opposite directions. HCV+ showed few proteomic changes, related to oxidative stress. Neurodegeneration (N) markers may differentially refine disease staging beyond amyloid and tau. Ng might not be an optimal N marker, as it relates more closely to tau.

    Original languageEnglish
    JournalAlzheimer's and Dementia
    Volume20
    Issue number9
    Pages (from-to)6205-6220
    Number of pages16
    ISSN1552-5260
    DOIs
    Publication statusPublished - 09.2024

    Funding

    FundersFunder number
    Alzheimer's Association
    Erling‐Persson Family Foundation
    Seventh Framework Programme
    Foundation for Barnes-Jewish Hospital
    National Institute on AgingK23AG053426, P01AG003991, P30AG066444, P01AG026276
    Cure Alzheimer's Fund
    Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
    Siemens CT
    Manchester Biomedical Research Centre
    Netherlands Organization for Health Research and Development733050502
    European Union's Horizon 2020 research and innovation programme860197
    Schweizerischer Nationalfonds (SNF)320030_141179, 320030_204886
    EU Joint Programme – Neurodegenerative Disease ResearchJPND2021‐00694
    EPND101034344
    AMYPADIMI 2 JU, 806999, 115952
    UK Dementia Research InstituteUKDRI‐1003
    Redefining Alzheimer's disease733050824736
    Synapsis Foundation – Dementia Research Switzerland2017‐PI01
    European Union's Horizon Europe Research and Innovation Programme101053962, 71320
    EMIF115372
    Stiftelsen för Gamla Tjänarinnor, Hjärnfonden, Sweden#FO2022‐0270
    Stichting Alzheimer OnderzoekSAO‐FRA 2021/0022
    Alzheimer's Drug Discovery Foundation201809‐2016862
    SNAP VIMP7330505021
    Swedish Research Council2019‐02397, 2023‐00356, 2022‐01018
    European Commission within the 5th framework program37670, QLRT‐2001‐2455

      Research Areas and Centers

      • Research Area: Medical Genetics

      DFG Research Classification Scheme

      • 2.23-06 Molecular and Cellular Neurology and Neuropathology

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